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Increasing Access for the UnderservedThe Academy at Johns Hopkins
April 17, 2019
1The MAVEN Project – Confidential and Proprietary
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OUR SHARED CHALLENGE
OUR HISTORY
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NEED SOLUTION
Dr. Laurie GreenMAVEN Project Founder
Former President,HMS Alumni Association
Bringing together our nation’s medical school alumni to address the clinical needs of communities with limited access to clinical expertise via telehealth.
THE MAVEN PROJECT
OUR MISSION
The MAVEN Project leverages engaged, highly qualified volunteer physicians to provide medical expertise, collaboration, and professional support to clinicians serving medically vulnerable communities.
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OUR SOLUTION
The MAVEN Project is a 501(c)3 nonprofit that links expert volunteer physicians to underserved communities via telehealth
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Improve health outcomes
Avoidance of cost
Increase access to care
Provider Satisfaction
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Clinic Partners in 8 States• California (7)
• Florida (8)
• Massachusetts (12)
• New York (3)
• Pennsylvania (1)
• South Carolina (1)
• South Dakota (1)
• Washington (15)
PHOTOS FROM MIAMI CLINIC PARTNERS
8The MAVEN Project – Confidential and Proprietary
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OUR EXPERT PHYSICIAN VOLUNTEERS
• Primary care and specialists• Recently retired, semi-retired, full-
time, in industry• Average 20 yrs practice experience• Good standing, trained at accredited
U.S. medical school and/or training program
• Culturally sensitive• Volunteer min of 4+ hrs/mo x 6 mos
WHO?
• Maintain identity and purpose while serving the neediest in our society
• Join a community of physicians and begin relationship with clinic staff
• Convenient, curated opportunity to share knowledge, extend career
WHY?
SPECIALTIES AVAILABLEADULT PEDIATRICS PRIMARY CARE
Addiction Medicine Oncology Adolescent Medicine Family PracticeCardiology Ophthalmology Endocrinology Internal MedicineDermatology Orthopedics Gastroenterology PediatricsEndocrinology Otolaryngology Hematology Urgent Care/Emergency MedicineGastroenterology Pain Management NeurologyGenetics Palliative Care OncologyGeriatrics Psychiatry PsychiatryGynecology Pulmonary UrologyHematology Rheumatology
HIV/AIDS Surgery
Infectious Disease Urology
Lipidology
Nephrology
Neurology 10
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Bay Area Physician Volunteers
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THE MAVEN PROJECT: OUR APPROACHThe MAVEN Project is focused on providing the following three service offerings:
Advisory Consults
Provider to provider
consults on one or more de-
identified cases. Scheduled,
“available now” or eConsults
Educational Sessions
Practical, clinical care-based; high
demand topics followed by rich Q&A
Mentoring
One-on-one, regularly
scheduled sessions
between PCP and physician
volunteer
ADVISORY CONSULTS
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Structure Example Metrics• Scheduled
• 3-60 min video or phone appts
• Schedule in advance
• Available now• Immediate
connection • Messaging
• Send eConsultto individual or group
• Managing fragile diabetics
• Timely questions to complete plan of care at current visit
• Immediate patient triage
• Complex patient requiring multiple specialists
• Short survey from PCPs & volunteers after each consult
• Metrics include timely access to specialty care, improved referral rates & improved outcomes for chronic conditions
PCPs access experienced physician volunteers to assist in validating clinical approaches, enhancing clinical plans, and triaging referrals.
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VSEE HIGHLIGHTS• Login from MAVEN Project website• Select the specialty• Complete simple intake form – can include
attachments• Select appointment length • Select provider of choice or consult based on
availability• Confirm consult reminder sent• Dashboard displays all appointments• During consult you can share screen, turn on
and off video/audio• Surveys deploy at conclusion of consult
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STORY SAMPLES FROM EARLY 2019Free Clinic in Miami:
• Stopped the cycle of recurrent visits to the emergency room and days missed from school for an 11 year old asthmatic boy by adjusting medications
Free Clinic in Miami:
• Evaluated and helped augment the care plan for an uninsured teenager with multiple symptoms and elevated thyroid lab tests, who is now asymptomatic
CLINIC PROVIDERS ON CONSULTS
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PCPs find advisory consults with our physician volunteers to be invaluable. Most give their experience 5-star (excellent) ratings.
“[Physician volunteer] made very helpful suggestions for this case. He was easy to talk to and the consultation was also brief, which helped me fit it into my busy day. I would definitely consult again.”
“[Physician volunteer] was very generous with his time and provided several clinical pearls about epilepsy and tremors that are applicable to other patients with similar presentations. It was a real pleasure to work with him and we greatly appreciate his time.”
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EDUCATIONAL SESSIONS
Program Structure Scheduling Structure Sample Topics • 45-minute videoconference
• 30 min presentation• 15 min Q&A
• Presentation slides sent after session
• Average 10 sessions/month
• NEW! CME offered 22 sessions/2019
• Customized: Time, date, duration, and topics determined by clinic
• Pre-Scheduled: monthly lectures at pre-set times• Topics based on clinic
provider feedback
• Opioid Management • Rheumatoid Arthritis • Overactive Bladder• Headaches in Children and
Adolescents• Diabetes Management• Depression in Adolescents
Clinically experienced physicians of all specialties present on high demand topics geared for the practicing primary care provider.
CLINICAL MENTORING
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Structure Example Metrics• One-on-one• Regularly scheduled
session between Clinic Provider and Physician Volunteer
• Minimum 3-month program
• 2-30 minute sessions up to 4 hours/month
• Mentee: PCP new to clinic
• Mentor: Primary care physician with 25 years experience
• Structure: Meet every other Tuesday from 12:30-1pm.
• Mentees choose goals before start but may evolve over time
• Mentees and mentors are surveyed periodically to monitor progress
PCPs access experienced physician volunteers to help navigate the day-to-day challenges of clinical practice, with the goal of increasing job satisfaction and provider retention.
CLINIC PROVIDERS ON MENTORING
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Topics discussed during mentoring sessions include burnout, work-life balance, and patient-centered care.
“My mentor is fantastic. Super supportive, easy to talk to, very knowledgeable. Really enjoying the sessions.”
“Great to have an affirming conversation with a seasoned professional.”
“My mentor described ways to help patients feel more empowered when adherence may be an issue, to play a bit more of the underdog role in asking them to describe the prior conversation.”
“I really appreciated that my mentor was able to narrow down some issues for me and help me see some solutions for problems I’m having.”
THE MAVEN PROJECT SOLUTION IMPACTAligning with the Quadruple Aim
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• Right care at the right time, right setting
• Strengthen medical home relationship
• Reduce/eliminate travel other barriers to care
• Build provider knowledge and skills to manage complex care in-house
• Enhance provider recruitment, retention and support
• Provider-specialist relationship
• Reduce/eliminate need for out-of-clinic specialty care
• Avoid unnecessary or incomplete specialty referrals
• Avoid unnecessary ED or readmissions
• Close care gaps• Care management• Coordinated care• Timely access
Improved health
outcomesCost
avoidance
Patient satisfaction
Care Team satisfaction
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IMPACT DATA
Average Overall Experience of Consults• Average Experience with physician volunteer: 4.92 (scale 1-5)
Recent Impact of Consults• 82% Cases augmented care plan• 39% Cases affirmed care plan• 69% of the time, a consult resulted in a saved referral• 70% of consults provided education which can apply to future patients• 26% Cases referred to in-person specialist
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PARTNERING WITH THE MAVEN PROJECTPartner clinics benefit from the following comprehensive service offerings.
• Unlimited synchronous and asynchronous advisory consults• Unlimited educational sessions • Access to mentoring services (up to 4 hours per month for each clinic)• Provider support: increase confidence in managing complex patients and
making appropriate specialty referrals• Designation of project manager to meet evolving clinic needs and support
implementation efforts from The MAVEN Project
MARKET DIFFERENTIATIONPhilanthropy & non-clinical admin fees = expert care to uninsured and Medicaid patients with limited or no access as a 501(c)(3)
Appealing Cost Structure
Expert Physicians
A previously untapped workforce brings decades of clinical practice experience to support and build trusting relationships with clinic primary care providers
Technology Removes Barriers
HIPAA-compliant technology allows volunteers and clinic providers to connect regardless of geographic location
Available when needed
With scheduled, on-demand, and eConsults, primary care providers can access our volunteers to fit their needs: we fit into their schedules, not the reverse
Physician volunteers create meaningful relationships with clinic primary care providers
Relationship Focused
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Join us as a volunteer
QUESTIONSIf you are interested in learning more about partnering with
The MAVEN Project, please contact:
www.mavenproject.org
Follow us on social media: facebook.com/mavenproject
linkedin.com/company/the-maven-projecttwitter.com/mavenproject
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Jill Einstein, MDDirector of Physician Engagement
Lisa Bard Levine, MD, MBAChief Executive Officer
[email protected] ext. 711
Laurie Green, MDFounder and President
[email protected] ext. 704
